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6 <br /> everett 5 ' �' � <br /> THEEVERGREEN <br /> CITY OF -7 <br /> everett DATE � — 3 " / �__ <br /> CIiY NAIL • EVEREII CITY OF EVERETT <br /> WASMINGION 98101 <br /> INSPECTION REPORT <br /> Inspecting Departmem�. <br /> �) ,'ti � <br /> LiCe052 (-Irv.:lilc.il � 5 .� � lV�uqPJti�W '�,'ic.is. <br /> Fire Housin9 En9inr.�:riny _ —_ <br /> Buildin9 Plumbin9 /J <br /> � � j <br /> InspectorzSignature _�`� ' � "G°�—� ------------- - <br /> Premiseslnspected: /�'�7�11 ��� <br /> � Typc ot 8uilding ar properiy <br /> Location or Address � U ``��.:....��� <br /> Items Inspected: •�.,i.,,,�i_,..f�(`.y �Jf j G -� <br /> !% ._ / <br /> -- — -- ---- -- _,._.�_�_._. <br /> Itemsa�pearinp ol,eed,idditionalinspecticmf�� �Uy�� ` �-.;��(�.�,,,,.,�/ <br /> �;�.�.,f��i-,-- '"1,�-� -` <br /> `�/�,�„��� / ,�4 t-f/�i. �:;��. ,c�I <br /> . L,� 2c "i`�- `�"r`",-` ` f. <br /> � <br /> I•_ _ _ _ . . in ai[endance on the Premis�.��.. <br /> cariify Ihat thr, rabovu inspeciion�oac m„�fa. <br /> Siynatur}r��r-�'(�2 ��/✓-`';-' <br /> r�,���„ r.,,.a�a oo� ._ <br />